This version of the form is not currently in use and is provided for reference only. Download this version of Form 139 for the current year.
This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 139?
A: Form 139 is a Medical Exemption Request form in Mississippi.
Q: What is the purpose of Form 139?
A: The purpose of Form 139 is to request a medical exemption in Mississippi.
Q: Who can use Form 139?
A: Anyone in Mississippi who needs a medical exemption can use Form 139.
Q: Are there any fees associated with submitting Form 139?
A: No, there are no fees associated with submitting Form 139.
Q: What should I include in my Form 139?
A: You should include necessary medical documentation and information to support your medical exemption request.
Q: How long does it take for the Medical Exemption Request to be processed?
A: The processing time for a Medical Exemption Request may vary, so it's best to contact the Mississippi Department of Revenue for more information.
Q: Can I appeal if my Medical Exemption Request is denied?
A: Yes, you can appeal a denial of your Medical Exemption Request with the Mississippi Department of Revenue.
Form Details:
Download a printable version of Form 139 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.